Healthcare Provider Details

I. General information

NPI: 1225247745
Provider Name (Legal Business Name): ROSALIA I ROZSAHEGYI ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

2324 WARRENSVILLE CENTER RD APT.1
UNIVERSITY HEIGHTS OH
44118-3825
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-9303
  • Fax:
Mailing address:
  • Phone: 216-932-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number006030
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: